Keith Dillon, M.D., Inc.

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

A75356 Issued in CA

Legal business name

KEITH DILLON, M.D., INC.

Practice address

1510 E Main St
Ste 104
Santa Maria, CA 93454-4825

Phone

(805) 739-3262

Fax

(805) 354-7013

NPI assigned

Jan 28, 2013

Last updated

Feb 20, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Keith Oliver Dillon, M.D.NPI 1154407534

Title

President/Owner

Phone

(805) 739-3262

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Keith Oliver Dillon, M.D.

  • Obstetrics & Gynecology Physician
  • Santa Maria, CA
  • NPI 1154407534
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1359331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361318400000",
    "number": "1447598396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 E MAIN ST",
            "address_2": "STE 104",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934544825",
            "telephone_number": "805-739-3262",
            "fax_number": "805-354-7013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 E MAIN ST",
            "address_2": "STE 104",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934544825",
            "telephone_number": "805-739-3262",
            "fax_number": "805-354-7013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH DILLON, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-28",
        "last_updated": "2013-02-20",
        "status": "A",
        "authorized_official_last_name": "DILLON",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "OLIVER",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "805-739-3262",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "CA",
            "license": "A75356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Kazak, MD
• Samara M Kazak, MD
• Brittanie Keebler
• Trisha Lynn Keeney
• William Chase Keightley, M.D.
• Keith Tam DDS Professional Corp (Santa Maria Pediatric Dental Group)
• Cecilia Kelley
• Linda Ann Kelly
• Sarah M Kelly, CNM
• Whitney Marie Kelly, SUDRC 12452

• Gynecology Physician in Santa Maria, CA
• Providers in Santa Maria, CA by specialty
• Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.